‘I Felt I Was Not Worthy of Having Survived’

Out of the blue recently, a reader emailed hello@ with a simple note: “I would really love it if The Atlantic did an article or collected reader experiences of stays in psychiatric hospitals.” I asked Eva if she’s ever been to one herself, and she replied:

Yes, I am in a psychiatric hospital even now. Not crazy, but in a severe depression for a year and a half now, with bad anxiety. Bad stuff in life a couple of years ago triggered this, plus a certain amount of genetic predisposition, plus not the right meds. In a year and a half, it’s been three psychiatric stays in the States, one in Norway, and three in Germany. I’m joking sometimes now that I should write about international comparisons of mental facilities :)

I do have the feeling that I’m finally better—knock on wood. I do often think about the everyday routines in these type of hospitals: the many biographies and patients with various illnesses you encounter, the humiliating events that happen, the bleak hopeless days where you merely hang in there, the struggle to maintain a measure of dignity for yourself, or the small unexpected comforts one finds.

I can think of many things to write about. And I would just love to hear from other people who have these types of experience. It is more common than one thinks.

If you’ve had a memorable experience in a mental hospital, either as a patient or staff member, please send us a note: hello@theatlantic.com. In a followup note, Eva elaborates on her experiences in poignant detail:

Humiliating events

There are many small things about psychiatric hospital life that can cause tear and wear on your personality and dignity—the whole sum of it, really: the meal times; the bed times; medications you may not want to take; having to be back on the ward by certain times; having to ring bells and wait for doors to be unlocked; staff going through your underwear and personal things whenever; having to step out of the shower to show you really are present when presence is checked; having to strip down completely upon admission to get searched for scars, wounds, injection marks, drugs ... between your toes and fingers, underneath your breasts. Just all of it as a whole, and keeping a measure of dignity, adult self-determination, and personality—and I guess, sass.

Personally I found it very humiliating to return to the same hospital a second and then a third time—both after an overdose of pills—and for prolonged stays. I felt like shrinking into the ground, like not meeting anyone’s eyes for the first few days. Here’s Eva AGAIN, still depressed, still not cured, with yet another overdose.

Although there is wonderful staff, there really are quite a few Nurse Ratcheds everywhere, and the encounters with them can wither your pride and not let you keep your chin up and head held high.

My absolute lowest low, and greatest sense of humiliation ever, was just after my most serious suicide attempt and closest call. I did this—and I am truly ashamed of this—on the ward itself.

I woke up in intensive care. Apart from that close-to-death feeling getting under your skin, and the actual overdose itself making you feel awfully sick for days, it is the behavior of those around you that alienates and humiliates. I really do know what I did was wrong, and that suicidal people need a strict environment—but strict does not equal bone-chillingly-cold people who avoid you, are mad at you, or think you have deserved this misery.

For days after the suicide attempt, I received not a single smile, not a single kind word—no encouragement at all. Lots scolded me harshly, and each seemed to think they were the first and only people to do that. I started to not feel like a human being. I felt I was not worthy of having survived. My mom didn’t speak to me for one week and that was terrifying.